Organization Active NPI

B&B Eye Group LLC

  • Optometrist
  • Ledgewood, NJ
National Provider Identifier
1326271545
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00376500 Issued in NJ
Legal business name
B&B EYE GROUP LLC
Practice address
461 State Route 10
Ledgewood Mall
Ledgewood, NJ 07852-9510
Phone
(973) 927-1242
Fax
(973) 927-8055
NPI assigned
Sep 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Gene Kirczow, O.D.
Title
Optometrist
Phone
(973) 927-1242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00376500 NJ Primary

Addresses

Primary practice location

461 State Route 10
Ledgewood Mall
Ledgewood, NJ 07852-9510

Mailing address

461 State Route 10
Ledgewood Mall
Ledgewood, NJ 07852-9510
Phone (973) 927-1242

National Provider Directory

National Provider Directory

Locations

461 State Route 10
Ledgewood, NJ 07852
Phone (973) 252-2475

461 State Route 10
#58
Ledgewood, NJ 07852

235 Prospect Ave
#B
West Orange, NJ 07052
Phone (973) 736-8371

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1326271545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 STATE ROUTE 10",
            "address_2": "LEDGEWOOD MALL",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "078529510",
            "telephone_number": "973-927-1242",
            "fax_number": "973-927-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 STATE ROUTE 10",
            "address_2": "LEDGEWOOD MALL",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "078529510",
            "telephone_number": "973-927-1242",
            "fax_number": "973-927-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&B EYE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "KIRCZOW",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "973-927-1242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00376500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ledgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.